Individual provider Active NPI

Athena Kokinos Gallegos, APRN, FNP-BC

  • Family Nurse Practitioner
  • Jackson, NJ
National Provider Identifier
1316876667
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15584400 Issued in NJ
Practice address
389 N County Line Rd
Jackson, NJ 08527-4426
Phone
(732) 762-6186
NPI assigned
May 14, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17785 CT
Family Nurse Practitioner 363LF0000X 26NJ15584400 NJ Primary
Nurse Practitioner 363L00000X 359722 NY

Addresses

Primary practice location

389 N County Line Rd
Jackson, NJ 08527-4426

Mailing address

22 Louisiana Pkwy
Jackson, NJ 08527-2145
Phone (732) 762-6186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1498 Pacific Ave
Suite 500
Tacoma, WA 98402-4208

22 Louisiana Pkwy
Jackson, NJ 08527-2145

2340 Hempfling Rd
Morning View, KY 41063-8763

4100 International PLZ
Fort Worth, TX 76109-4800

PO Box
Cincinnati, OH 45263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
359722NYMDNurse Practitioner
26NJ15584400NJMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783728000000",
    "number": "1316876667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LOUISIANA PKWY",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272145",
            "telephone_number": "732-762-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 N COUNTY LINE RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274426",
            "telephone_number": "732-762-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKINOS GALLEGOS",
        "first_name": "ATHENA",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "17785",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15584400",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "359722",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

Verify at the official NPI Registry.